<?php
	require_once("template/header.php");
	
	if(isset($_POST[nume])){
		echo "<pre>";
		print_r($_POST);
		echo "</pre>";
		
		
	}else{
?>

<form action="feedback.php" method="post" class="form-horizontal">
 <div class="control-group">
 	<div style="margin-left:-20px;">
    <label class="control-label" for="inputName">Nume</label>
    <div class="controls">
      <input type="text" name="nume" id="inputName" placeholder="Nume">
    </div>
    </div>
  </div>
  <div class="control-group">
   	<div style="margin-left:-20px;">
    <label class="control-label" for="inputEmail">Email</label>
    <div class="controls">
      <input type="text" name="email" id="inputEmail" placeholder="Email">
    </div>
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="inputInfo">Cum ati aflat de noi?&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</label>
  <select name="cumatiaflat">
  <option>-</option>
  <option>De la cunoscuti</option>
  <option>De la televizor</option>
  <option>De la radio</option>
  <option>Din ziar</option>
  <option>De pe internet</option>
  <option>Din alta parte</option>
  </select>
  </div>
  <div class="control-group">
    <label class="control-label" for="inputLike">Ce va place?&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</label>
  <textarea name="like" rows="3"></textarea>
  </div>
  <div class="control-group">
    <label class="control-label" for="inputDislike">Ce nu va place?&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</label>
  <textarea name="dislike" rows="3"></textarea>
  </div>
  <div class="control-group">
    <label class="control-label" for="inputsuggestions">Alte sugestii?&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</label>
  <textarea name="sugestii" rows="3"></textarea>
  <div style="margin-left:310px;"><br><br>
  <button type="submit" class="btn btn-primary">Trimite</button>
  </div>
  </div>
  
  
  
</form>

<?php
	}
	require_once("template/footer.php");
?>